Wongolerani polyhydramnios: zimayambitsa, zizindikiro, chithandizo

polyhydramnios zolimbitsa - ndi yambiri ya madzimadzi amniotic. matenda Izi zikhoza kuikidwa pa siteji iliyonse ya mimba. Si sizachilendo vuto. Umapezeka pafupifupi 2-3 akazi kunja 99. amayi oyembekezera pa mimba m'pofunika kuti aziona kuchuluka kwa madzi. Ndiko kuti, m'pofunika kuti akapezeke anakonza US ndipo amakonda kupita ku phwando kuti gynecologist lapansi.

Pa chitukuko yachibadwa mimbayo, kuchuluka kwa madzimadzi amniotic sayenera upambana malita 1-1.5. Iwo wapangidwa ndi mapulotini, salt calcium, sodium, chlorine, ndi madzi, umene ndi pafupifupi 96%. Chifukwa madzimadzi amniotic mwanayo amalandira zinthu zonse zofunikira chitukuko yachibadwa. Ntchito ina ndi kuteteza madzi kuyenda. , Iye akhoza kusuntha ndi kuyenda popanda kuika choipa kapena kuwonongeka ena.

The katundu wa madzimadzi amniotic

Amniotic madzimadzi lili katundu zotsatirazi:

• Kumatetezera mwana wosabadwayo ku zikuchitika kunja: phokoso, mantha, mantha.
• Kumalimbikitsa deta ya chingwe umbilical.
• Amachepetsa ululu pa ntchito.
• Amathandiza kutsegula khomo pachibelekeropo.
• Chindiletsa ingress zinthu zoipa kwa mwana wosabadwayo ku dziko lakunja.
• Lili immunoglobulins.

wakudziko

Kuchuluka kwa kusintha madzi pa mimba. Aliyense trimester malamulo yake. Kodi angaphunzire kwa tebulo pansipa.

Milungu 39-40 mpaka yobereka kuchuluka kwa madzi yafupika. Madokotala zochokera pa avareji. Ndipo ngati pali vuto malangizo kapena wodwala matenda oligohydramnios kapena polyhydramnios zolimbitsa.

Norma pambuyo masabata 30 a mimba

Matenda a polyhydramnios dokotala akhoza kuika mu siteji iliyonse ya mimba. Koma kunena kukana n'chotheka pambuyo masabata 20. Ngati chachiwiri matenda ultrasound sanali anatsimikizira, nthawi yotsatira inu kupeza yekha wachitatu chizolowezi ultrasound polyhydramnios zolimbitsa. masabata 32 - nthawi pamene kufunika zonse pitani ku chipatala antenatal. Dotolo odziwa ntchito angathandize ulamuliro pakati chikhalidwe chawo. Iye diagnoses vuto, ngakhale mkaziyo ali kudandaula ayi.

Mwa njira, n'zotheka kudziwa osati pa US, komanso Doppler, ndipo pa kuyenderako. Wongolerani hydramnion pa mimba (masabata 32) kuika pamene kuchuluka kwa madzimadzi amniotic ukufika 1500-1900 ml. Pankhaniyi, mkazi amamva ngati madzi masikono anga m'mimba, ndi mwana zambiri limayenda. kusamva amenewa amaganiza pakati, ndipo pa tsiku la mtsogolo. M'mwezi wachisanu ndi chitatu wa chizunzo chake akhoza chowongolera polyhydramnios. masabata 34 - nthawi ina yapadera. Pa mawu matenda amenewa anapangidwa pamene chokwanira cha madzimadzi ndi kuposa ndi 200-400 ml.

zifukwa zimene zikhoza polyhydramnios

Panopa, madokotala sizinathe asanamvetsetse zifukwa chifukwa cha zomwe pali polyhydramnios zolimbitsa pa mimba. Koma iwo anazindikira kuti zinthu zingapo putative kuti kungakhale vuto:

1. Kuvutika mu chitukuko cha mwana wosabadwayo.
2. Opatsirana chikhalidwe cha matenda, anthu osunga mkazi.
3. matenda bakiteriya.
4. Ena matenda dongosolo mtima ndi mtima.
5. Nkhondo RH Chinthu mu wosabadwa ndi mayi.
6. Okwera shuga mu amayi apakati.
7. matenda a impso (pyelonephritis ndi zina zotero).
8. Polemba zipatso pang'ono.
9. Ngati mwana ali okwanira.

Ngakhale pali chifukwa umodzi angaoneke polyhydramnios zolimbitsa.

zizindikiro

Kuzindikira zikamera wa kuvutika kugwirizana ndi polyhydramnios, zitheka ndi zizindikiro zotsatirazi:

• Chokulitsidwa pamimba, zomwe si kukumana mawu.
• Pa auscultation mitima ya mwana ndi zovuta kumva.
• Kuchuluka sayenda wa mwana wosabadwayo.
• Kupuma movutikira.
• Kufooka.
• Puffiness.
• Kutentha.
• Soreness mmimba.
• Maonekedwe zosonyeza Tambasula.

Pamene anayendera ndi palpation wa pamimba dokotala amaona voteji ndi mkulu malo kupereka gawo. Nthawi zambiri, pamene izo kumbali pakati zovuta paokha kusunga polyhydramnios.

chithandizo

polyhydramnios zolimbitsa ankachitira kuchotsa chifukwa cha maonekedwe ake. Pambuyo kuika mayesero zofunikira zonse ndi mayeso a dokotala kudziwa chifukwa cha matenda. Therapy ndi zovuta. Pamafunikanso okodzetsa (okodzetsa), mankhwala ndi mavitamini. Amathandiza kuchepetsa madzi kuwononga tizilombo zoipa, patsogolo chitetezo cha m'thupi ndi thanzi. Ngati mankhwala si ntchito, nthawi zina, chifukwa kubadwa. Izi zimachitika osati pamaso 35 masabata mimba.

Ngozi ya matenda

Kupatuka ndi oopsa chifukwa zingayambitse mavuto aakulu kwa mayi komanso mwana. Njirazi ndi monga:

1. Msanga kubadwa.
2. Placental abruption.
3. Yoopsa imfa.
4. yofanana mu maonekedwe a mwana akule wanu.
5. Opatsirana matenda a mayi ndi mwana.
6. Prolapse wa chingwe umbilical kapena miyendo yoopsa.
7. Undescended ndi uncommitted previa.
8. Magazi.
9. Gestosis zachilengedwe zosiyanasiyana.

Komanso, mwana sangathe kutenga malo wabwinobwino, chifukwa likuyenda nthawi zonse chifukwa cha kuchuluka madzi ambiri.

kudwala Kuteteza

Pofuna kupewa pakuwonekera kwake, pang'ono malamulo osavuta iyenera kugwiritsidwa ntchito. Mayi woyembekezera tikulimbikitsidwa:

• Sunthani kwambiri.
• Dekhetsa kugwiritsa ntchito madzi.
• Kusamala chakudya.
• Kumwa mavitamini ndi mankhwala zotchulidwa dokotala.
• Panthawi yake ndi zonse kuunikira mayesero.
• Kukaonana ndi dokotala.

Komanso mu magawo oyambirira m'pofunika kuthetsa mikangano RH imayambitsa mayi ndi mwana wosabadwayo. Ngati inu kutsatira malangizo onse ndi kutsatira malamulo osavuta ameneŵa, ndiye mosavuta kukana yafupika ngati kuli kotheka. Mwa njira, kudwala limapezeka nthawi zambiri chifukwa matenda a nkhondo RH china. Choncho, pamaso pa mimba kudutsa kuona ndi chithandizo, ngati n'koyenera.